A member asked:

Currently on lexapro (escitalopram) 20 mg for five days (tapering off) and now increasing my remeron to 30 mg from 15. i also take one 7.5 vicodin for mouth pain each day. am i at risk for serotonin syndrome?

5 doctors weighed in across 2 answers
Dr. Heidi Fowler answered

Specializes in Psychiatry

Here is the : Interesting thing about sertotinergic syndrome- although it usually occurs with high doses of medications that increase serotonin level, there are some people who develop it at relatively low doses after a brief period of treatment.

Answered 5/8/2016

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Dr. Todd Magro answered

Specializes in Psychiatry

Low risk: Serotonin syndrome is possible but not likely when Lexapro (escitalopram) and Remeron are combined. This is a frequently prescribed combination, but make your doctor aware of any physical symptoms you experience.

Answered 6/30/2014

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